Individual
ADELLE M AZAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3100 CORAL HILLS DR STE 202, CORAL SPRINGS, FL 33065-4139
(954) 320-2640
(954) 320-2610
Mailing address
1700 NW 49TH ST STE 125, FORT LAUDERDALE, FL 33309-3750
(954) 320-2640
(954) 320-2610
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
ARNP3261052
FL
163WM0705X
Medical-Surgical Registered Nurse
ARNP3261052
FL
163WN0002X
Neonatal Intensive Care Registered Nurse
ARNP 3261052
ZZ
363L00000X
Nurse Practitioner
ARNP3261052
FL
363LF0000X
Family Nurse Practitioner
Primary
ARNP3261052
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000445400
—
FL
01
—
ARNP3261052
FL LICENSE
FL
Enumeration date
11/11/2010
Last updated
04/02/2024
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